International Journal of Biological Macromolecules 43 (2008) 325–332
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International Journal of Biological Macromolecules
journal homepage: www.elsevier.com/locate/ijbiomac
Photocrosslinkable starch-based polymers for ophthalmologic drug delivery
A.P. Vieira
a
, P. Ferreira
a,b
, J.F.J. Coelho
c
, M.H. Gil
a,∗
a
Chemical Engineering Department, University of Coimbra, Pólo II, Rua Sílvio Lima, 3030-790 Coimbra, Portugal
b
Department of Health Sciences, Portuguese Catholic University, Estrada da Circunvalac ¸ ão, 3504-505 Viseu, Portugal
c
Centre of Ophthalmology, Biomedical Institute for Research in Light and Image (IBILI), Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
article info
Article history:
Received 6 May 2008
Received in revised form 19 May 2008
Accepted 2 June 2008
Available online 6 June 2008
Keywords:
Starch
Drug delivery
Photocrosslinking
abstract
This study focused on the development and characterization of a starch-based polymer with urethane link-
ages to be used as a controlled drug delivery system for biomedical applications. Starch was modified with
2-isocyanatoethyl methacrylate in order to obtain a polymer containing carbon–carbon double bonds in
its structure. This modified starch was then used to produce films by UV irradiation using Irgacure
®
2959
(CIBA) as the photoinitiator. The modified polymer was characterized by attenuated total reflectance-
Fourier transform infrared (ATR-FTIR) spectroscopy. The swelling capacity, in artificial lachrymal fluid
(performed both at room temperature and physiological temperature), and water contact angles mea-
surements were determined. The in vitro biodegradation in artificial lachrymal fluid supplemented with
lysozyme was also studied. Scanning electronic microscopy (SEM) was used to characterize the mor-
phology of the materials immediately after synthesis and after biodegradation. Timolol maleate and
sodium flurbiprofen were immobilized by adsorption and their in vitro release profiles were followed
spectroscopically.
© 2008 Elsevier B.V. All rights reserved.
1. Introduction
Conventional ocular therapy for the treatment of acute and
chronic diseases makes use of topical appliance of eye drops. This
type of therapeutics represents nearly 90% of the marketed formu-
lations. Still, this kind of appliance has a limited efficacy that is
due to several factors. One of the major limiting factors for drug
absorption from the lachrymal fluid into the anterior chamber, after
eye drop administration, is the low permeability of the corneal
epithelium that results in a very low (around 5%) drug absorp-
tion by the cornea [1]. The remaining amount of drug flows with
tears through the upper and lower canalicully into the nasolachry-
mal ducts [2] and consequently may cause unwanted systemic side
effects [3]. The self-protective mechanisms of the eye, such as rapid
tear turnover, limit the absorption of the instilled drug in the eye
[4]. In addition, application of ophthalmic drugs as drops results in
a rapid variation in drug delivery rates to the cornea that limits the
efficacy of therapeutic systems [5].
In order to improve the patient compliance for delivering the
medications there is the need for finding some new implantable
devices which could deliver the drugs in a long-lasting controlled
∗
Corresponding author at: Departamento de Engenharia Química, Universidade
de Coimbra, Polo II, Pinhal de Marrocos, 3030-290 Coimbra, Portugal.
Tel.: +351 239798743; fax: +351 239798703.
E-mail address: hgil@eq.uc.pt (M.H. Gil).
manner [6]. Using this strategy, the drug loss associated with sys-
temic absorption would be minimized, and the resident time of
the drug in the tear film increased [7]. An alternative approach to
optimize ophthalmic drug delivery is the adaptation of bioadhesive
systems [8], namely mucoadhesive ones, which have been proved
to be successful in oral applications [9].
Bioadhesive delivery systems are designed to adhere to various
tissue surfaces, mainly the mucosal epithelium, and can provide a
localized delivery of an active agent to a specific site in the body
such as the eye [3]. Some authors have come to the conclusion that
mucoadhesion requires an expanded and hydrated polymer net-
work [10]. In fact, according to Mulhbacher et al. [11] it is possible
to describe three factors involved in the process of bioadhesion.
The first is related to wetting and the swelling of the polymer, while
the second concerns to the interpenetration of the polymeric chains
with mucin. Finally, the third is related to the establishment of weak
physical bonds between mucin and polymeric chains. These last
interactions can be ionic, Van der Waals or hydrogen bonds and
although they are, as said before, weak interactions individually,
they can associate in a final strong adhesion phenomenon. Consid-
ering this description, the most suitable polymers to be applied as
mucoadhesive agents, will be hydrophilic macromolecules contain-
ing numerous hydrogen bond forming groups [12]. Polysaccharides,
being naturally occurring biomolecules, seem suitable compounds
to develop this kind of systems, since they are well know as highly
hydrophilic as well as biodegradable and biocompatible. In addi-
tion, this kind of molecule can be modified to change its physical
0141-8130/$ – see front matter © 2008 Elsevier B.V. All rights reserved.
doi:10.1016/j.ijbiomac.2008.06.002